My name is Emma Supple, I work in

My name is Emma Supple, I work in
a clinic in Enfield called Supple Feet

and for the NHS as a podiatric surgeon.

Corns and calluses
are areas of thickened skin

that form these hard-pressure areas
that can be very sore.

They're not very common in young people
because their skin is very supple,

it's still growing,
they've got movement and flexibility.

If you don't
get a corn and callus treated,

then it may just stay the same
and gradually thicken up,

but it can also become
the site of an ulceration,

and that's very important
as we're dealing more

with people who are diabetic
and diabetic foot care

because a corn or a callus that becomes
an ulcer is a significant problem.

Corns and calluses
do need to be looked after long term

because they're a problem
that just doesn't disappear.

The treatment
is really essentially the same.

What you have to do is the three-step
mantra to looking after your feet.

The first is to scrub your feet daily,

not just getting them wet in the bath
and letting the suds slosh over them.

What I need is a proper scrubbing brush
to scrub the dirt off

because I really do believe that dirt
is a major irritant on the skin

and starts to form hard, horny layers,
very difficult to shift.

The second thing to do is
after you've scrubbed them clean,

you use a good moisturiser.

The good foot creams out there have
urea-based cream and they're very good.

The urea sits on the skin,
pulls the water into the epidermis

and really helps to moisturise the skin.

The first thing is wash your feet,
the second thing is moisturise your feet

and the third thing
is be careful with your shoes.

If you have an area of shoe
that's rubbing on an area,

that will blister up.

If the blister doesn't stop you
from wearing that shoe,

it will thicken up
to try and protect it.

Things that you can do at home
to stop corns and calluses,

a lot of people go to the pharmacist
and pick up corn plasters.

I really would recommend that you stop,

put the corn plaster back and go
and get some professional advice first.

Corn plasters contain salicylic acid,

which softens and almost ulcerates
the corn sitting there.

You don't want to do that
if you don't know what it is.

It could be a verruca, it might be
an ulcer, it might be an infection.

You really need to see your podiatrist.

Look them up in Yellow Pages
or look them up on feetforlife.org

Find someone, find out what it is

and then they can gently remove it,
tell you how to prevent it,

give you the insoles you need
to stop it coming back.

At-home treatments with corn plasters

we really, as a profession,
don't recommend.

Having said that,
there are corn plasters available

that haven't got any acid in them

and they've just got a hole
to take the pressure off.

They are fantastic for corns
that come in between your toes.

If you have a nasty corn
and a nasty callus

and it's due to a bony prominence,

then you can have surgery
to address the underlying bony problem

and then the corn and the callus
will naturally resolve.

Otherwise it's long-term management,

using the moisturising,

making sure you've got cushioning pads,
using insoles,

any type of thing to offload pressure
off that particular spot.

Do go and see your podiatrist.

Regular debridement of these lesions,
paring them down,

gently paring them down,
painlessly removing them is invaluable,

and then doing some at-home treatment
really helps look after them

and keep them to the point
where they're just a bit of thick skin

and not hurting you, that's important.